|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$2,840.00 |
$2,840.00 |
$2,840.00 |
$3,296.80
|
|
Device ablt adv novasure
|
$3,159.35 |
$3,159.35 |
$3,159.35 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$3,508.61 |
$3,508.61 |
$3,508.61 |
$4,200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$200.00 |
$200.00 |
$200.00 |
$227.25
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$15.69 |
$15.69 |
$15.69 |
$20.76
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$68.72 |
$68.72 |
$68.72 |
$42.25
|
|
Dextrose 5 % IV bolus
|
$68.58 |
$68.58 |
$68.58 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$107.50 |
$107.50 |
$107.50 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$70.00 |
$70.00 |
$70.00 |
$79.30
|
|
Diab manage trn ind/group
|
$25.00 |
$25.00 |
$25.00 |
$54.99
|
|
Diagnostic laryngoscopy 31575
|
$215.00 |
$215.00 |
$215.00 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$282.50 |
$282.50 |
$282.50 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$282.50 |
$282.50 |
$282.50 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$310.00 |
$310.00 |
$310.00 |
$259.00
|
|
Dialysis circuit perm vascular embolization 36909
|
$4,210.00 |
$4,210.00 |
$4,210.00 |
$5,741.00
|
|
Dialysis one evaluation
|
$835.00 |
$835.00 |
$835.00 |
$936.00
|
|
Diffusing capacity
|
$272.50 |
$272.50 |
$272.50 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,866.73
|
|
Dilat xst trc ndurlgc px
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$4,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$59.72 |
$59.72 |
$59.72 |
$18.32
|
|
Disaccharidases
|
$357.50 |
$357.50 |
$357.50 |
$230.40
|
|
Discography cerv/thor spine
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,565.00
|
|
Dissolve clot heart vessel
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$1,579.93
|
|
Dlyd plmt xtn prosth ea addl
|
$2,705.00 |
$2,705.00 |
$2,705.00 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$92.50 |
$92.50 |
$92.50 |
$100.00
|
|
Dna gardnerella
|
$85.00 |
$85.00 |
$85.00 |
$61.83
|
|
Dna trichomonas
|
$87.50 |
$87.50 |
$87.50 |
$63.00
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.42 |
$4.42 |
$4.42 |
$949.39
|
|
Doppler echo complete
|
$297.50 |
$297.50 |
$297.50 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$600.00 |
$600.00 |
$600.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$400.00 |
$400.00 |
$400.00 |
$481.65
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$387.37 |
$387.37 |
$387.37 |
$23,613.78
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$800.00 |
$800.00 |
$800.00 |
$800.00
|
|
Drainage external ear simple 69000
|
$800.00 |
$800.00 |
$800.00 |
$790.40
|
|
Drainage mouth roof lesion
|
$275.00 |
$275.00 |
$275.00 |
$405.60
|
|
Drainage of kidney lesion
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$145.00 |
$145.00 |
$145.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$780.00 |
$780.00 |
$780.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$240.00 |
$240.00 |
$240.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,994.09
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$442.50 |
$442.50 |
$442.50 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$337.50 |
$337.50 |
$337.50 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$515.00 |
$515.00 |
$515.00 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$511.70 |
$511.70 |
$511.70 |
$1,818.32
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$96.75
|
|
Drug assay rufinamide
|
$170.00 |
$170.00 |
$170.00 |
$87.10
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$272.50 |
$154.00
|
|
Drug assay voriconazole
|
$102.50 |
$102.50 |
$102.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug screen quant tiagabine
|
$115.00 |
$115.00 |
$115.00 |
$107.59
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$322.50
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$380.00 |
$380.00 |
$380.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$2,980.00
|
|
Ductogram sgl duct
|
$670.00 |
$670.00 |
$670.00 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$750.00 |
$750.00 |
$750.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$500.00 |
$500.00 |
$500.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$605.00 |
$605.00 |
$605.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$740.00 |
$740.00 |
$740.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$780.00 |
$780.00 |
$780.00 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$190.84 |
$190.84 |
$190.84 |
$8,445.90
|
|
Dx bronchoscope/wash 31622
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$2,410.50
|
|
Ear irrigation 69209
|
$150.00 |
$150.00 |
$150.00 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$177.50 |
$177.50 |
$177.50 |
$132.08
|
|
Echocardiogram (Heart Ultrasound)
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$465.00 |
$465.00 |
$465.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$217.50 |
$217.50 |
$217.50 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$255.00 |
$255.00 |
$255.00 |
$371.25
|
|
Echo exam uterus 76831-
|
$610.00 |
$610.00 |
$610.00 |
$561.00
|
|
Echograp trans r pros study
|
$580.00 |
$580.00 |
$580.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$655.00 |
$655.00 |
$655.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$560.00 |
$560.00 |
$560.00 |
$455.57
|
|
Echo guide for artery repair
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$696.30
|
|
Echo stress
|
$895.00 |
$895.00 |
$895.00 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,650.00
|
|
Echo transthoracic
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,361.75
|
|
Echo transthoracic
|
$765.00 |
$765.00 |
$765.00 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$830.00 |
$830.00 |
$830.00 |
$1,033.00
|
|
Eculizumab injection
|
$364.21 |
$364.21 |
$364.21 |
$16,330.48
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$62.50 |
$62.50 |
$62.50 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$795.00 |
$795.00 |
$795.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$994.15
|
|
Eeg during surgery
|
$795.00 |
$795.00 |
$795.00 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$835.00 |
$835.00 |
$835.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$795.00 |
$795.00 |
$795.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$905.00 |
$905.00 |
$905.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$442.50 |
$442.50 |
$442.50 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$442.50 |
$442.50 |
$442.50 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$885.00 |
$885.00 |
$885.00 |
$1,584.70
|
